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亲密伴侣暴力与产前口腔健康经历

Intimate Partner Violence and Prenatal Oral Health Experiences.

作者信息

Testa Alexander, Lee Jacqueline, Jackson Dylan B, Mungia Rahma, Ganson Kyle T, Nagata Jason M

机构信息

The University of Texas Health Science Center at Houston.

Boise State University.

出版信息

Res Sq. 2023 Jul 17:rs.3.rs-3137055. doi: 10.21203/rs.3.rs-3137055/v1.

Abstract

BACKGROUND

Intimate partner violence (IPV) is a significant public health issue, and when experienced during pregnancy, IPV poses substantial harms for maternal health. Still, limited research has examined how IPV may influence prenatal oral health and dental care utilization. This study aims to investigate the relationship between IPV during pregnancy and women's oral health experiences.

DATA

Data are from the Pregnancy Risk Assessment Monitoring System from 2016 through 2019 ( = 85,289). Multivariable logistic regression analyses were used to examine the association between physical IPV during pregnancy and various oral health experiences.

FINDINGS

Women who experienced prenatal physical IPV reported worse oral health experiences during pregnancy, including being more likely to report not knowing it was important to care for their teeth, not talking about dental health with a provider, needing to see a dentist for a problem, going to see a dentist for a problem, as well as having more unmet dental care needs.

CONCLUSIONS

Together, these findings indicate that women who experience physical IPV during pregnancy have lower knowledge of prenatal oral health care, more oral health problems, and greater unmet dental care needs. Given the risk associated with IPV and oral health problems for maternal and infant health, the study findings point to greater attention toward the oral health needs of IPV-exposed pregnant women.

摘要

背景

亲密伴侣暴力是一个重大的公共卫生问题,孕期遭受亲密伴侣暴力会对孕产妇健康造成严重危害。然而,关于亲密伴侣暴力如何影响产前口腔健康和牙科护理利用的研究仍然有限。本研究旨在调查孕期亲密伴侣暴力与女性口腔健康经历之间的关系。

数据

数据来自2016年至2019年的妊娠风险评估监测系统(n = 85,289)。多变量逻辑回归分析用于检验孕期身体亲密伴侣暴力与各种口腔健康经历之间的关联。

研究结果

经历过产前身体亲密伴侣暴力的女性在孕期报告了更差的口腔健康经历,包括更有可能报告不知道照顾牙齿很重要、没有与医护人员谈论牙科健康、因问题需要看牙医、因问题去看牙医,以及有更多未满足的牙科护理需求。

结论

这些研究结果共同表明,孕期经历身体亲密伴侣暴力的女性对产前口腔保健的了解较少,有更多的口腔健康问题,以及更大的未满足牙科护理需求。鉴于亲密伴侣暴力和口腔健康问题对母婴健康的风险,研究结果表明应更加关注遭受亲密伴侣暴力的孕妇的口腔健康需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e07a/10371134/e0bf8157e7bf/nihpp-rs3137055v1-f0001.jpg

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